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Aidoo-Frimpong G, Nayem J, Adekunle T, Thomas S, Adekunle T, Asfaw S, Durado A, Williams ER, Martinez O, Memiah P, Kingori C. Exploring interactive stories for sexual health education among young adults in the USA. Health Promot Int 2025; 40:daaf031. [PMID: 40208186 DOI: 10.1093/heapro/daaf031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2025] Open
Abstract
Adolescents and young adults in the USA face significant sexual health challenges. Immigrant and refugee youth are particularly vulnerable due to barriers such as cultural silence around sex, contraception stigma, and knowledge gaps in sexual health. This pilot study explored the potential of a choose-your-own-adventure (CYOA) story intervention to address reproductive and sexual health disparities and enhance prevention engagement among immigrant and refugee youth in Central Ohio. We conducted semistructured interviews with 32 immigrant and refugee young adults recruited through a community organization. The interviews explored the impact of CYOA stories on participants' understanding of dating and sexual health and identified key design features and player experiences that contribute to the intervention's effectiveness. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis. Participants (n = 32) were predominantly female (87.5%) and aged 18-25 years. The CYOA intervention significantly improved understanding of sexual health through engaging scenarios that simulated real-life interactions and decision-making processes. The intervention's inclusive design and interactive elements were pivotal in enhancing understanding, though minor technical and navigational issues were noted as areas for improvement. Realistic scenarios, peer interaction, and customization features were particularly effective in promoting engagement and learning. The CYOA format is a promising tool for sexual health promotion among immigrant and refugee youth. Carefully designed interactive stories can significantly improve young adults' understanding and communication regarding sexual health.
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Affiliation(s)
- Gloria Aidoo-Frimpong
- Department of Epidemiology and Environmental Health, University at Buffalo, 193 Farber Hall, Buffalo, NY 14214, United States
- Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, 60 College Street, New Haven, CT, 06520, United States
| | - Jannatun Nayem
- Department of Social and Public Health, Ohio University,1 Ohio University, Athens, OH, 45701, United States
| | - Toluwani Adekunle
- Department of Public Health, Calvin University, 3201 Burton St SE, Grand Rapids, MI, 49546, United States
| | - Sabena Thomas
- College of Nursing and Public Health, Adelphi University, 1 South Ave, Garden City, NY 11530, United States
| | - Tiwaladeoluwa Adekunle
- Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, 633 Clark St, Evanston, IL 60208, United States
| | - Seleshi Asfaw
- ETSS Tewahedo Social Services, 4300 E Broad St, Columbus, OH 43213, United States
| | - Adonis Durado
- School of Visual Communication, Scripps College of Communication, Ohio University, 1 Ohio University, Athens, OH, 45701, United States
| | - Eric R Williams
- Game Research and Immersive Design Lab, Scripps College of Communication, Ohio University, 1 Ohio University, Athens, OH, 45701, United States
| | - Omar Martinez
- College of Medicine, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States
| | - Peter Memiah
- School of Graduate Studies, University of Maryland, College Park, MD 20742, United States
| | - Caroline Kingori
- Department of Social and Public Health, Ohio University,1 Ohio University, Athens, OH, 45701, United States
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2
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Valdez ES, Chan J, Donis A, Collins-Lovell C, Dixon S, Beatriz E, Gubrium A. Structural Racism and Its Influence On Sexual and Reproductive Health Inequities Among Immigrant Youth. J Immigr Minor Health 2023; 25:16-22. [PMID: 35930092 PMCID: PMC9362213 DOI: 10.1007/s10903-022-01385-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2022] [Indexed: 01/07/2023]
Abstract
This community-based participatory research study explores the influence of structural racism on sexual and reproductive health (SRH) inequities among immigrant, including refugee, youth. We conducted interviews with emerging youth and youth service providers living in two communities in Massachusetts. Our results detail three major themes illustrating how structural racism influences SRH inequities among immigrant youth: (1) lack of culture-centered SRH supports for recently immigrated youth; (2) immigration enforcement and fear impacting access to adolescent SRH (ASRH) education and services; and (3) perceived ineligibility related to tenuous legal status as a barrier to accessing ASRH services. Conclusions: Findings illustrate the importance of rooting sexuality education curricula in a culture centered framework that recognizes local cultural understandings, acknowledges structural constraints faced by young people, and prioritizes youth agency and voice when engaging in this work. Raising awareness of SRH resources available to immigrant youth may expand access for this underserved population.
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Affiliation(s)
- Elizabeth Salerno Valdez
- Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst. Arnold House, 715 North Pleasant Street, 01003, Amherst, MA, United States.
- Massachusetts Department of Public Health, 250 Washington St, 02108, Boston, MA, United States.
| | - Jazmine Chan
- Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst. Arnold House, 715 North Pleasant Street, 01003, Amherst, MA, United States
| | - Andrea Donis
- Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst. Arnold House, 715 North Pleasant Street, 01003, Amherst, MA, United States
| | - Camille Collins-Lovell
- Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst. Arnold House, 715 North Pleasant Street, 01003, Amherst, MA, United States
| | - Saharra Dixon
- Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst. Arnold House, 715 North Pleasant Street, 01003, Amherst, MA, United States
| | - Elizabeth Beatriz
- Massachusetts Department of Public Health, 250 Washington St, 02108, Boston, MA, United States
| | - Aline Gubrium
- Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst. Arnold House, 715 North Pleasant Street, 01003, Amherst, MA, United States
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3
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Ustunel AO. Dating Violence in an Urban Turkish Context: Listening to Young People from an Intersectional Perspective. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP11652-NP11682. [PMID: 33618574 DOI: 10.1177/0886260521997441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Intersectional approaches have challenged the field of domestic violence to pay more attention to diversity in women's experiences and highlighted the significance of their social contexts and positions, such as class, race, religion, in shaping their understanding of and responses to violence. In the dating violence (DV) literature, a similar call has been made to develop contextualized accounts of DV and to address the heterogeneity of young people through DV prevention programs. Nevertheless, to date, intersectional thinking has not been fully utilized in DV research. The present study aims to address this gap in the literature and investigate how young people make sense of and experience DV from an intersectional perspective in an urban Turkish context. The data for the current study came from individual interviews conducted with 39 college students, aged 18-25. The interviews inquired into how young people understood, explained, and experienced DV. The interviews were analyzed thematically, culminating into four main themes: (a) DV as control, (b) DV as resulting from traditional gender norms, (c) DV as women's fault, and (d) DV-related socialization processes. Some of these main themes were interpreted and experienced differently by the participants depending on their gender and the impact of traditional, Islamic, and egalitarian discourses on their accounts. The result demonstrated nuanced differences in young people's meaning-making perspectives, needs, and vulnerabilities to DV. In the Turkish context, these results are intended to inform the burgeoning field of DV research and to guide the development of diversity-informed, culturally tailored, and context-sensitive prevention practices.
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Affiliation(s)
- Anil Ozge Ustunel
- Istanbul Bilgi University, Eski Silahtarağa Elektrik, Santralı Kazim Karabekir Eyupsultan, Istanbul, Turkey
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4
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Ortensi LE, Farina P. Sexual violence victimisation among university students in Italy: a gendered intersectional quantitative approach. GENUS 2020. [DOI: 10.1186/s41118-020-00101-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
AbstractThere is rising attention in Italy and Europe to the occurrence, consequences, and factors related to sexual violence. The focus on women as the primary victims of sexual violence has, however, left data collection and research on young men and sexual minorities in the background. Moreover, young people’s experiences of sexual abuse in the context of their relationships with peers are hardly recognised as a policy concern. The ultimate aim of this paper is to disentangle intersectionalities between gender, migration background, sexual orientation, and sexual experience in shaping the risk of experiencing sexual violence among university students in Italy.We use data from the Sexual and Emotional LiFe of Youths (SELFY) survey carried out in Italy in 2017. Our data confirm that women and foreign-born students are at higher risk of sexual violence. Our data also support previous evidence that bisexual women are at a higher risk of sexual violence victimisation compared with peer students with other sexual orientations. Previous same-sex sexual experience is more relevant than sexual orientation in shaping the risk. The effect is gendered: the risk of sexual violence is lower for women with previous same-sex sexual experience compared with their male peers. The intersection between gender, sexual orientation, and same-sex sexual experience generate specific high-risk profiles whose needs should be targeted by support services.
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5
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Couture-Carron A. Shame, Family Honor, and Dating Abuse: Lessons From an Exploratory Study of South Asian Muslims. Violence Against Women 2020; 26:2004-2023. [PMID: 31896308 DOI: 10.1177/1077801219895115] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Generally, South Asian Muslim communities reject dating and view it as shameful. Despite this, many South Asian Muslims still engage in dating. These traditional norms, however, remain influential and a part of the cultural context in which dating abuse occurs. This exploratory study examines South Asian Muslims' perceptions of how cultural norms forbidding dating and constructing it as shameful may affect women's experiences of dating abuse. Findings indicate these cultural norms may prompt fear of parental and community reactions to dating as well as strong relationship attachment. These then have implications for disclosure, help seeking, and ending abusive relationships.
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Neves S, Machado M, Machado F, Pinheiro F. Attitudes toward Intimate Partner Violence and Intimate Partner Acceptance-Rejection among Cape Verdean students living in Portugal. PSICOLOGIA: TEORIA E PESQUISA 2019. [DOI: 10.1590/0102.3772e3549] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract This research sought to determine the prevalence of intimate partner violence, characterize attitudes toward violence, analyse relations between perceptions of intimate partner acceptance-rejection and practices of violence and examine relations between intimate partner acceptance-rejection and beliefs and attitudes toward intimate partner violence among Cape Verdean students that lives in Portugal. One hundred and sixteen participants, aged 15 to 25 years, from three professional schools, four secondary schools and one university, completed the Scale of Beliefs about Marital Violence, Marital Violence Inventory, Dating Violence Scales and Intimate Partner Acceptance-Rejection Questionnaire. Significant positive correlations were found between beliefs about marital violence, dating violence attitudes and intimate partner rejection. Regressions showed intimate partner rejection predicted marital violence beliefs and dating violence attitudes.
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Affiliation(s)
- Sofia Neves
- Instituto Superior de Ciências Sociais e Políticas, Portugal; Instituto Universitário da Maia, Portugal
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7
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Haglund K, Belknap RA, Edwards LM, Tassara M, Hoven JV, Woda A. The Influence of Masculinity on Male Latino Adolescents' Perceptions Regarding Dating Relationships and Dating Violence. Violence Against Women 2018; 25:1039-1052. [PMID: 30355176 DOI: 10.1177/1077801218808395] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In the United States, teen dating violence (TDV) is a concern across ethnic groups. Attitudes and correlates of violence differ by gender, culture, and acculturation. This study used a qualitative interpretive approach. Data were obtained in focus groups with 23 Latino male adolescents. Themes reflected contexts of participants' lives, and definitions and nature of dating relationships and TDV. Participants described the importance of respecting dating partners, the destructive effects of TDV, and the pressure to display masculinity that can lead some young men to perpetrate TDV. These results may advance culturally relevant interventions to promote healthy relationships and prevent dating violence.
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Affiliation(s)
| | | | | | - Marcel Tassara
- 2 Sixteenth Street Community Health Centers, Milwaukee, WI, USA
| | | | - Aimee Woda
- 1 Marquette University, Milwaukee, WI, USA
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8
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Ravi KE, Black BM, Mitschke DB, Pearson K. A Pilot Study of a Teen Dating Violence Prevention Program With Karen Refugees. Violence Against Women 2018; 25:792-816. [PMID: 30324871 DOI: 10.1177/1077801218804091] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
While teen dating violence (TDV) prevention programs generally report changes in participants' attitudes and mixed findings about changes in behavior, little is known about the impact of TDV programs on ethnic minority youth. This study examined the effectiveness of Safe Dates, an evidence-based TDV prevention program, in educating 21 resettled Karen refugee youth from Burma. Findings indicated changes in attitudes toward violence occurred from pretest to follow-up. Years living in the United States was significantly related to pretest and posttest attitudes. More research about TDV is needed among Karen youth with attention given to the role of acculturation on TDV attitudes.
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9
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Martinez I, Kershaw TS, Lewis JB, Stasko EC, Tobin JN, Ickovics JR. Between Synergy and Travesty: A Sexual Risk Syndemic Among Pregnant Latina Immigrant and Non-immigrant Adolescents. AIDS Behav 2017; 21:858-869. [PMID: 27338951 DOI: 10.1007/s10461-016-1461-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Substance use, intimate partner violence, and depression contribute to sexual risk individually, yet have not been evaluated as a syndemic for adolescents. Using data from 772 pregnant Latina adolescents, we evaluated these factors as a syndemic and tested the moderating role of immigration. Bivariate analyses showed syndemic score (OR = 1.40, p = 0.02) and severity (OR = 1.68, p = 0.006) were predictors for multiple sex partners, and syndemic score predicting STIs (OR = 1.15, p = 0.05). Syndemic severity remained significant in multivariate analyses for multiple sex partners (OR = 1.53, p = 0.04). Moderation analyses showed higher syndemic severity was associated with more condom use among immigrants (OR = 1.75, p = 0.04) and less condom use (OR = 0.07, p = 0.011) among those with separated orientation. Higher syndemic severity also predicted greater odds for multiple partners (OR = 2.40, p = 0.01) among immigrants. This evidence suggests a sexual risk syndemic exists among Latina adolescents. Research should continue exploring this phenomenon, particularly exploring the role immigration plays for sexual health.
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Affiliation(s)
- Isabel Martinez
- Department of Chronic Disease Epidemiology, Yale University School of Public Health and Center for Interdisciplinary Research on AIDS, 135 College St, Suite 200, New Haven, CT, 06510, USA.
| | - Trace S Kershaw
- Department of Chronic Disease Epidemiology, Yale University School of Public Health and Center for Interdisciplinary Research on AIDS, 135 College St, Suite 200, New Haven, CT, 06510, USA
| | - Jessica B Lewis
- Department of Chronic Disease Epidemiology, Yale University School of Public Health and Center for Interdisciplinary Research on AIDS, 135 College St, Suite 200, New Haven, CT, 06510, USA
| | - Emily C Stasko
- Department of Psychology, Drexel University, Philadelphia, PA, USA
| | | | - Jeannette R Ickovics
- Department of Chronic Disease Epidemiology, Yale University School of Public Health and Center for Interdisciplinary Research on AIDS, 135 College St, Suite 200, New Haven, CT, 06510, USA
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10
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Reyes HLM, Foshee VA, Klevens J, Tharp AT, Chapman MV, Chen MS, Ennett ST. Familial Influences on Dating Violence Victimization Among Latino Youth. JOURNAL OF AGGRESSION, MALTREATMENT & TRAUMA 2016; 25:773-792. [PMID: 29503523 PMCID: PMC5831146 DOI: 10.1080/10926771.2016.1210270] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Despite theoretical and empirical evidence suggesting that the family environment plays a central role in Latino youth development, relatively little is known about how family processes influence dating violence victimization among Latino adolescents. To address this gap in the literature, we used data from 210 Latino parents and their 13- to 15-year-old adolescents to examine associations between several different family processes, including both parenting practices (parent monitoring, parent-adolescent communication) and aspects of the family relational climate (family cohesion, family conflict, acculturation conflict) and psychological, physical, and sexual dating violence victimization. Consistent with expectations, lower levels of family cohesion and higher levels of family and acculturation conflict were associated with risk for dating violence victimization, although associations varied depending on victimization type. In contrast, neither parental monitoring nor parent-adolescent communication was significantly associated with any type of dating violence victimization. In addition, we found that parent, but not teen, Anglo-American acculturation was associated with higher dating violence victimization risk. Findings suggest that family-based dating abuse prevention programs for Latino youth should seek to increase family cohesion and decrease family conflict, including acculturation-based conflict.
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Affiliation(s)
- H. Luz McNaughton Reyes
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Vangie A. Foshee
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Joanne Klevens
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Andra Teten Tharp
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Mimi V. Chapman
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - May S. Chen
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Susan T. Ennett
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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11
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Gonzalez-Guarda RM, Ferranti D, Halstead V, Ilias VM. Experiences with Dating Violence and Help Seeking Among Hispanic Females in Their Late Adolescence. Issues Ment Health Nurs 2016; 37:229-38. [PMID: 27077507 PMCID: PMC5658783 DOI: 10.3109/01612840.2016.1141341] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Hispanic females in their late adolescence appear to be disproportionately affected by dating violence, yet the majority of victims never seek out formal services. The purpose of this study was to explore the dating violence and help-seeking experiences of Hispanic females in their late adolescence. Participants were recruited from a social service agency providing wrap-around services to individuals and families affected by abuse in South Florida. Eleven in-depth qualitative interviews were conducted with Hispanic female victims of dating violence in their late adolescence (18 to 24 years of age) in English or Spanish. A thematic analysis of transcripts identified four major themes: (a) conflict, culture, and context influences Hispanic couples; (b) missed opportunities to accessing help; (c) pivotal moments are needed to access formal services; and (d) family matters. Participants of this study believed that dating violence was more normative in Hispanic relationships than "American" relationships. Although participants had opportunities to seek formal services early in their relationships, formal services were only sought after pivotal moments. Families played an important role in supporting or further victimizing the participants. Findings from this study can be used to inform interventions addressing both informal and formal sources of support for Hispanic female victims of dating violence in their late adolescence.
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Affiliation(s)
- Rosa M Gonzalez-Guarda
- a University of Miami School of Nursing and Health Studies, Center of Excellence for Health Disparities Research: El Centro , Coral Gables , Florida , USA
| | - Dina Ferranti
- a University of Miami School of Nursing and Health Studies, Center of Excellence for Health Disparities Research: El Centro , Coral Gables , Florida , USA
| | - Valerie Halstead
- a University of Miami School of Nursing and Health Studies, Center of Excellence for Health Disparities Research: El Centro , Coral Gables , Florida , USA
| | - Vanessa M Ilias
- a University of Miami School of Nursing and Health Studies, Center of Excellence for Health Disparities Research: El Centro , Coral Gables , Florida , USA
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12
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DuPont-Reyes M, Fry D, Rickert V, Davidson LL. Adolescent relationship violence and acculturation among NYC Latinos. Matern Child Health J 2015; 19:1543-52. [PMID: 25452217 PMCID: PMC4452455 DOI: 10.1007/s10995-014-1659-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Acculturation has been shown to positively and negatively affect Latino health. Little research investigates the overlap between acculturation and the different types of relationship violence among Latino youth and most research in this area predominantly involves Mexican-American samples. The current study examined associations between indices of acculturation (language use at home, chosen survey language, and nativity) and relationship physical violence and sexual coercion, both received and delivered, among predominantly Dominican and Puerto Rican adolescents from New York City. From 2006 to 2007, 1,454 adolescents aged 13-21 years in New York City completed an anonymous survey that included the Conflict in Adolescent Relationships Inventory which estimates experiences of physical violence and sexual coercion, both received and delivered, in the previous year. This analysis includes bivariate and multivariate methods to test the associations between language use at home, chosen survey language, and nativity with the different types of relationship violence. Among females, there is a significant association between language use at home and overall level of acculturation with delivering and receiving relationship physical violence; however, we did not find this association in delivering and receiving relationship sexual coercion. We found no association between acculturation and any type of relationship violence among males. Among Latina females, language spoken at home is an indicator of other protective factors of physical relationship violence. Future research in this area should explore the potential protective factors surrounding relationship violence among Latina females of various subgroups using comprehensive measures of acculturation, household composition and family engagement.
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Affiliation(s)
- Melissa DuPont-Reyes
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, Room 720D, New York, NY, 10032, USA,
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13
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Abstract
Acculturation has been shown to positively and negatively affect Latino health. Little research investigates the overlap between acculturation and the different types of relationship violence among Latino youth and most research in this area predominantly involves Mexican-American samples. The current study examined associations between indices of acculturation (language use at home, chosen survey language, and nativity) and relationship physical violence and sexual coercion, both received and delivered, among predominantly Dominican and Puerto Rican adolescents from New York City. From 2006 to 2007, 1,454 adolescents aged 13-21 years in New York City completed an anonymous survey that included the Conflict in Adolescent Relationships Inventory which estimates experiences of physical violence and sexual coercion, both received and delivered, in the previous year. This analysis includes bivariate and multivariate methods to test the associations between language use at home, chosen survey language, and nativity with the different types of relationship violence. Among females, there is a significant association between language use at home and overall level of acculturation with delivering and receiving relationship physical violence; however, we did not find this association in delivering and receiving relationship sexual coercion. We found no association between acculturation and any type of relationship violence among males. Among Latina females, language spoken at home is an indicator of other protective factors of physical relationship violence. Future research in this area should explore the potential protective factors surrounding relationship violence among Latina females of various subgroups using comprehensive measures of acculturation, household composition and family engagement.
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14
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Acculturation, risk behaviors and physical dating violence victimization among Cuban-American adolescents. J Pediatr Nurs 2014; 29:633-40. [PMID: 24680919 DOI: 10.1016/j.pedn.2014.03.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2013] [Revised: 02/07/2014] [Accepted: 03/04/2014] [Indexed: 11/23/2022]
Abstract
The purpose of this study is to describe the relationships among acculturation, risk behaviors, and reported physical dating violence among Cuban-American ninth grade adolescents. Participants (N=82) completed a questionnaire that assessed their level of acculturation to the U.S. (Americanism), their maintenance of the Hispanic culture (Hispanicism), binge drinking, drug use, sexual intercourse, condom use and physical dating violence victimization. Multiple logistic regression was conducted. Hispanicism was associated with a decrease in odds of reporting physical dating violence victimization. Drug use and not using a condom were associated with an increase in odds of reporting physical dating violence victimization.
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Cuevas CA, Sabina C, Bell KA. Dating violence and interpersonal victimization among a national sample of Latino youth. J Adolesc Health 2014; 55:564-70. [PMID: 24880210 DOI: 10.1016/j.jadohealth.2014.04.007] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Revised: 04/10/2014] [Accepted: 04/10/2014] [Indexed: 10/25/2022]
Abstract
PURPOSE The purpose of this analysis was (1) to provide the rates of dating violence victimization among a national sample of Latino adolescents, (2) to determine the degree to which different forms of dating violence victimization co-occurred for this sample, and (3) to determine how much dating violence victimization overlapped with other forms of non-partner-perpetrated victimization. METHOD This analysis used data from the Dating Violence Among Latinos Study, which surveyed 1,525 Latino adolescents between the ages of 12 and 18 years about past-year dating violence and non-partner-perpetrated victimization. We calculated victimization rates and relative risk ratios to evaluate the co-occurrence among different forms of dating violence victimization as well as the co-occurrence of dating violence and other forms of victimization. RESULTS Results show elevated rates of dating violence victimization compared with previous studies, which is primarily accounted for by psychological dating violence. The rate of dating violence appears to precipitously increase starting around ages 13 and 14 years and is consistently higher for boys. Each type of dating violence was significantly associated with other forms of dating violence (e.g., physical and psychological). Dating violence was significantly associated with experiencing conventional crime, peer or sibling victimization, and nonpartner sexual victimization as well as being a polyvictim. CONCLUSIONS The results support the importance of early prevention efforts with Latino youth and addressing dating violence with both sexes. Furthermore, dating violence should be seen as a potential risk marker for youth who are experiencing multiple forms of victimization.
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Affiliation(s)
- Carlos A Cuevas
- School of Criminology and Criminal Justice, Northeastern University, Boston, Massachusetts.
| | - Chiara Sabina
- School of Behavioral Sciences and Education, Penn State Harrisburg, Middletown, Pennsylvania
| | - Kristin A Bell
- School of Criminology and Criminal Justice, Northeastern University, Boston, Massachusetts
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16
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Messinger AM, Fry DA, Rickert VI, Catallozzi M, Davidson LL. Extending Johnson's intimate partner violence typology: lessons from an adolescent sample. Violence Against Women 2014; 20:948-71. [PMID: 25125494 DOI: 10.1177/1077801214546907] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Johnson's intimate partner violence (IPV) typology-categorizing IPV by both use and receipt of physical violence and controlling behaviors-effectively predicts IPV consequences among adults. His typology has not yet been applied to adolescents, an important population for early IPV intervention. Therefore, in analyzing IPV covariates among 493 female urban high school students, we used as key predictors both Johnson's original typology and, for enhanced clarity, a relationship-level extension. Preliminary evidence suggests that the pattern of adolescent IPV differs substantially from that of adult IPV and that a relationship-level typology provided additional clarity in categorizing this pattern.
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Blom H, Högberg U, Olofsson N, Danielsson I. Strong association between earlier abuse and revictimization in youth. BMC Public Health 2014; 14:715. [PMID: 25018145 PMCID: PMC4226944 DOI: 10.1186/1471-2458-14-715] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2013] [Accepted: 06/12/2014] [Indexed: 11/15/2022] Open
Abstract
Background Violence victimization among youth is recognized as a public health problem. The objective was to analyze the risk pattern of emotional, physical, and sexual abuse during the past 12 months by gender, sociodemographic factors, health risk behaviors, and exposure to abuse before the age of 15, among young men and women attending youth health centers in Sweden. Methods A cross-sectional survey was conducted using a nationally representative sample of youth health centers. A total of 2,250 young women and 920 young men aged 15–23 completed a self-administered questionnaire. Odds ratios (OR) and adjusted odds ratios (AOR) with 95% CI were calculated. Results A consistent and strong association was noted between exposure to all types of violence during the past year and victimization before the age of 15 for all types of violence for both women and men. The only exceptions were childhood sexual victimization and sexual violence during the past year for men. Younger age was associated with all violence exposure for the women and with emotional violence for the men. For the women, drug use was associated with all types of violence, while the association with hazardous alcohol use and not living with parents was restricted to physical and sexual violence exposure, present smoking was restricted to emotional and physical violence exposure, and partnership and living in urban areas were restricted to sexual violence. For men, not being partnered, hazardous alcohol consumption, and drug use meant increased risk for physical violence, while smoking and living in urban areas were associated with sexual violence. After adjustment, immigration had no association with violence exposure. Conclusions Violence victimization in young men and women is often not a single experience. Findings underline the importance of early interventions among previously abused youth.
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Affiliation(s)
- Helena Blom
- Department of Clinical Sciences, Obstetrics and Gynaecology, Umeå University, SE-901 87 Umeå, Sweden.
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Gonzalez-Guarda RM, Cummings AM, Pino K, Malhotra K, Becerra MM, Lopez JE. Perceptions of adolescents, parents, and school personnel from a predominantly Cuban American community regarding dating and teen dating violence prevention. Res Nurs Health 2014; 37:117-27. [PMID: 24481848 DOI: 10.1002/nur.21588] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2013] [Indexed: 11/10/2022]
Abstract
The purpose of this study was to explore perceptions of dating relationships and teen dating violence prevention within a predominantly Cuban American community in Miami-Dade County. Eight focus groups (n = 74 participants) with adolescents of Hispanic origin (n = 29), their parents (n = 29), and school personnel (n = 16) were conducted and analyzed using content analysis. Four themes characterized the nature and context of dating relationships among adolescents of Hispanic origin: YOLO -You Only Live Once, cultural unity but social division, dating is not going out, and the social environment challenges healthy relationships. The information generated from this study can be used to develop culturally tailored teen dating violence prevention programs targeting youth of Hispanic origin.
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Affiliation(s)
- Rosa M Gonzalez-Guarda
- School of Nursing and Health Studies, University of Miami, 5030 Brunson Drive, Coral Gables, FL
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Belknap RA, Haglund K, Felzer H, Pruszynski J, Schneider J. A theater intervention to prevent teen dating violence for Mexican-American middle school students. J Adolesc Health 2013; 53:62-7. [PMID: 23583507 DOI: 10.1016/j.jadohealth.2013.02.006] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2012] [Revised: 02/03/2013] [Accepted: 02/04/2013] [Indexed: 10/26/2022]
Abstract
PURPOSE To test a theater intervention designed to raise awareness of the dynamics and consequences of teen dating violence (TDV) and to facilitate creation of nonviolent responses to TDV among Latino and Latina adolescents. The intervention was based on Theater of the Oppressed, which advocates the use of theater methods to explore social issues and to allow audiences to experiment with problem-solving, thereby promoting change. METHODS This study used a pretest-posttest, no control group, mixed-measures design to study 66 Mexican-American adolescents (mean age, 13.4 ± 5 years). Two plays containing subtle and overt signs of control and abuse were written and performed. Scripts were based on data from prior studies of TDV among Latino and Latina adolescents. At baseline, we measured sociodemographics, personal safety, and ethnic identity. Pre-post instruments measured acceptance of TDV, confidence to resolve conflicts nonviolently, and intentions to use nonviolent strategies to resolve conflict. We collected qualitative data via essay. RESULTS At posttest, participants had less acceptance of TDV (t = -2.08; p < .05), increased confidence to resolve conflicts nonviolently (t = 3.82; p < .001), and higher intentions to use nonviolent strategies (t = 3.35; p = .001). We analyzed 20 essays. Qualitative results provided context for understanding participants' changes in attitude, confidence, and nonviolent behavioral intentions. CONCLUSIONS This adaptation of Theater of the Oppressed was an effective way to interact with Latino adolescents. In a safe setting, participants vicariously experienced TDV, which facilitated self-reflection and cognitive rehearsal strategies to respond nonviolently to TDV.
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Affiliation(s)
- Ruth Ann Belknap
- College of Nursing, Marquette University, Milwaukee, WI 53201-1881, USA
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Jolly K, Archibald C, Liehr P. Risk taking in first and second generation Afro-Caribbean adolescents: an emerging challenge for school nurses. J Sch Nurs 2013; 29:353-60. [PMID: 23358788 DOI: 10.1177/1059840513475819] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
School nurses are well positioned to address risk-taking behaviors for adolescents in their care. The purpose of this mixed-method exploratory study was to explore risk taking in Afro-Caribbean adolescents in South Florida, comparing first- to second-generation adolescents. Quantitative and qualitative data were collected from an immigrant group using the adolescent risk-taking instrument to evaluate risk-taking attitudes, behaviors, and self-described riskiest activities. One-hundred and six adolescents participated; 44% were first generation Afro-Caribbean. Data analysis included analysis of variance, frequencies, and content analysis. There were no differences in risk-taking attitudes; smaller percentages of first generation Afro-Caribbean adolescents reported sexual activity, substance use, and violence. Over one third of the sample, regardless of generational status, reported alcohol use, but did not note alcohol or other health-compromising behaviors as "riskiest" activities. It is important to better understand Afro-Caribbean adolescents' perspectives about risky behaviors, and school-based venues offer the best promise for reaching these adolescents.
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Affiliation(s)
- Kim Jolly
- 1Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA
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Haglund K, Belknap RA, Garcia JT. Mexican American Female Adolescents’ Perceptions of Relationships and Dating Violence. J Nurs Scholarsh 2012; 44:215-22. [DOI: 10.1111/j.1547-5069.2012.01452.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Almeida J, Johnson RM, McNamara M, Gupta J. Peer violence perpetration among urban adolescents: dispelling the myth of the violent immigrant. JOURNAL OF INTERPERSONAL VIOLENCE 2011; 26:2658-80. [PMID: 21156691 PMCID: PMC3123437 DOI: 10.1177/0886260510388288] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Researchers have found an inverse relationship between immigrant status and violence perpetration. Most studies have examined Mexican immigrants, and few have assessed immigration factors other than nativity. Additionally, the majority have focused on the most serious forms of violence despite the fact that moderate violence is more common. Using data from the 2008 Boston Youth Survey, we generated prevalence estimates of peer violence perpetration across immigration related factors, examined whether risk factors for peer violence differed by these variables, and explored the contribution of risk factors to peer violence perpetration. Recent immigrants had a significantly lower prevalence of peer violence compared to each other generations/time in U.S. group. Known risk factors for violence perpetration varied by generation/time in U.S.: compared to other groups, recent immigrants were less likely to have used substances, and were more likely earn A's and B's in school. Recent immigrants had a significantly lower risk of violence perpetration relative to U.S.-born (RR = 0.35, 95% CI: 0.19, 0.62). Adjusting for known risk factors did not attenuate differences in risk. While immigrant youth had a lower risk of peer violence, the protective effect was diminished among immigrants who had resided in the U.S. for >4 years. This pattern demonstrates that negative assimilation occurs within the first generation, not just across generations. Results suggest that perpetration of violence worsens with increased time in the U.S. Research is needed to identify factors that contribute to the acquisition of behaviors such as violence among recently arrived immigrant youth.
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Immigration Status, Acculturation, and Dating Violence Risk for Hispanic Adolescent Girls in New Mexico. Matern Child Health J 2010; 15:1076-80. [PMID: 20700636 DOI: 10.1007/s10995-010-0653-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Gupta J, Acevedo-Garcia D, Hemenway D, Decker MR, Raj A, Silverman JG. Intimate partner violence perpetration, immigration status, and disparities in a community health center-based sample of men. Public Health Rep 2010; 125:79-87. [PMID: 20402199 DOI: 10.1177/003335491012500111] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
OBJECTIVE We examined disparities in male perpetration of intimate partner violence (IPV) based on immigration status. METHODS From 2005 to 2006, 1,668 men aged 18-35 who were recruited from community health centers anonymously completed an automated, computer-assisted self-interview. Men self-reported their immigrant status (e.g., native-born, <6 years in the U.S. [recent immigrants], or > or = 6 years in the U.S. [non-recent immigrants]) and IPV perpetration. We calculated differences in IPV perpetration based on immigrant status. Among immigrant men, we further examined differences in IPV perpetration based on English-speaking ability. RESULTS Recent immigrants were less likely to report IPV perpetration than native-born men in the overall sample (adjusted odds ratio [AOR] = 0.60, 95% confidence interval [CI] 0.36, 1.00). However, we observed no differences in IPV perpetration between non-recent immigrants and native-born men (AOR=0.88, 95% CI 0.63, 1.23). Among immigrant men, those who were non-recent immigrants and reported limited English-speaking ability were at the highest risk for IPV perpetration, compared with recent immigrants with high English-speaking ability (AOR=7.48, 95% CI 1.92, 29.08). CONCLUSIONS Although immigrant men were at a lower risk as a group for IPV perpetration as compared with non-immigrants, this lower likelihood of IPV perpetration was only evident among recent immigrants. Among immigrant men, those who arrived in the U.S. more than six years ago and reported speaking English relatively poorly appeared to be at greatest risk for using violence against partners. Future research should examine the effects of fear of legal sanctions, discrimination, and changes in gender roles to clarify the present findings.
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Affiliation(s)
- Jhumka Gupta
- Yale School of Public Health, 60 College St., Room 400, New Haven, CT 06520, USA.
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Wheeler K, Zhao W, Kelleher K, Stallones L, Xiang H. Immigrants as crime victims: Experiences of personal nonfatal victimization. Am J Ind Med 2010; 53:435-42. [PMID: 20196094 DOI: 10.1002/ajim.20820] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND Immigrants to the United States are disproportionately victims of homicide mortality in and outside the workplace. Examining their experiences with nonfatal victimization may be helpful in understanding immigrant vulnerability to violence. METHODS We compared the annual prevalence of nonfatal personal victimization experienced by immigrant and US-born adults by sociodemographics, employment, occupation, industry, smoking, alcohol and drug use using data from Wave 1 National Epidemiologic Survey on Alcohol and Related Conditions. RESULTS The prevalence of victimization among immigrants was comparable to that among US-born adults [3.84% (95% CI: 3.18-4.63) vs. 4.10% (95% CI: 3.77-4.44)]. Lower percentages of victimization experienced by immigrants were seen among the unmarried, those age 30-44 years, and among residents of central city areas as compared to those groups among the US-born. For immigrants entering the US as youth, the victimization prevalence declines with greater years of residency in US. Multivariate logistic regression models suggest that, the odds of victimization was significantly associated with age, family income, marital status, central city residency, smoking, and drug use while employment status was not a significant factor. Immigrant workers with farming/forestry occupations might face a higher risk of being victims of violence than their US-born counterparts. CONCLUSIONS The prevalence of victimization among immigrants was comparable to that among US-born adults. Employment status and industry/occupation overall were not significant risk factors for becoming victims of violence.
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Affiliation(s)
- Krista Wheeler
- Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio 43205, USA
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Smokowski PR, Rose RA, Bacallao M. Acculturation and aggression in Latino adolescents: modeling longitudinal trajectories from the Latino Acculturation and Health Project. Child Psychiatry Hum Dev 2009; 40:589-608. [PMID: 19504182 DOI: 10.1007/s10578-009-0146-9] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2008] [Accepted: 05/25/2009] [Indexed: 11/24/2022]
Abstract
This study examines how multiple indicators of adolescent and parent acculturation relate to longitudinal trajectories of Latino adolescent aggression. The hierarchical linear modeling analysis is based on a final sample of 256 adolescents paired with one parent. Of the adolescents, 66% were born outside of the United States and the remaining 34% were US-born. Families lived in two sites: 38% lived in North Carolina and 62% lived in Arizona. The overall trajectory of Latino adolescent aggression displays a statistically significant negative trend best characterized by a quadratic curve. We delineate significant risk factors related to aggression levels, and show that gender, age, parent-reported acculturation conflicts, and adolescent-reported parent-adolescent conflicts are associated with higher levels of adolescent aggression. We discuss the study limitations, implications of the findings, and fertile ground for future research.
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Affiliation(s)
- Paul Richard Smokowski
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-3550, USA.
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Acculturation and Violence in Minority Adolescents: A Review of the Empirical Literature. J Prim Prev 2009; 30:215-63. [DOI: 10.1007/s10935-009-0173-0] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2008] [Accepted: 04/01/2009] [Indexed: 10/20/2022]
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Gupta J, Acevedo-Garcia D, Hemenway D, Decker MR, Raj A, Silverman JG. Premigration exposure to political violence and perpetration of intimate partner violence among immigrant men in Boston. Am J Public Health 2009; 99:462-9. [PMID: 18703450 PMCID: PMC2661447 DOI: 10.2105/ajph.2007.120634] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/04/2008] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined associations between premigration political violence exposure and past-year intimate partner violence (IPV) perpetration among immigrant men attending community health centers in Boston. METHODS A convenience sample of immigrant men (N = 379; aged 18-35 years), largely from the Caribbean and Cape Verde, who attend community health centers, completed an anonymous, cross-sectional survey on risk and protective factors for male-perpetrated IPV and respondents' exposure to political violence. RESULTS One in 5 (20.1%) immigrant men reported that they were exposed to political violence before arrival in the United States. Men reporting political violence exposure were significantly more likely to report IPV perpetration than were men not reporting such exposure (adjusted odds ratio [AOR] = 2.84; 95% confidence interval [CI] = 1.41, 5.74). Significant associations with political violence exposure were observed for both physical (AOR = 2.69; 95% CI = 1.11, 6.54) and sexual (AOR = 2.37; 95% CI = 1.04, 5.44) IPV perpetration. CONCLUSIONS To our knowledge, our findings document for the first time the significant association between premigration political violence exposure and recent IPV perpetration among immigrant men. Additional work is needed to examine underlying mechanisms to inform culturally appropriate programs.
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Affiliation(s)
- Jhumka Gupta
- Yale University Center for Interdisciplinary Research on AIDS, New Haven, CT, USA.
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